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� <br /> { <br /> }otal Fee: $ Date Received: <br /> Entered By: Permit#: _�G �2�S� <br /> CITY OF ORONO - BITII�DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------ <br /> ----- ------------- <br /> THE APPLICANT IS: (circle one) OWNER�( R CONTRACTOR <br /> � S� � `% / <br /> JOB SITE ADDRESS: ���� (/G����J�%�.:�'�/ y� ZIP: <br /> NAME OF OWNER: �r��'�°�-�'� '`' f ��Gr���j � PHO�tE: (home) � �f -�j�/C/v <br /> ��� (work) <br /> MAILIl�'G ADDRESS: z�/C>�� !�C�L�e�.-�:������ CITY: �;;����yz � ZIP: `��' ��/ <br /> � <br /> C0�ITRACTOR: � PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAII.,ING A.DDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHIT'ECT/ENGINEER: PH0�1E: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF `i�ORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED`VORK(describe in detai�: .Sjj�yr..�- � ��y�� � _ j����} ��rh]�� /'�'`,��t��' <br /> �,J .' <br /> ��" �rf<f�! —.. �i�(�il�iC � " �� i <br /> � i / ��/�G �'%� <br /> STORIES: � .� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. � DET. <br /> csx'.% � <br /> ESTIVi IAT`ED CONSTRUCTION VALUATION (excluding land): $ ���'�� � � <br /> I hereby apply for a buildin�permit and I acknowledge that the information above is complete and <br /> accurate; tha� the work will be in conformance with the ordinances and codes of the City and with <br /> the State Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> pernut; and that the work will be in acc ance with the approved plan. <br /> APPLICANT'S SIGNATLTRE: ' '� DATE: G" l �' S <br /> r <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non perntitted events will not be allowed. <br />